Individual
DIANNA HULL PERAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-5705
(859) 301-2022
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
30950
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200916710
—
IN
05
—
2352252
—
OH
05
—
64055692
—
KY
Enumeration date
08/09/2005
Last updated
01/09/2014
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